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. 2014 Jul;15(4):554-7.
doi: 10.5811/westjem.2014.1.20813.

Epidemiology of nursemaid's elbow

Sarah Vitello  1 , Ronald Dvorkin  1 , Steven Sattler  1 , David Levy  1 , Lyncean Ung  1
Affiliations

Epidemiology of nursemaid's elbow

Sarah Vitello et al. West J Emerg Med. 2014 Jul.

Abstract

Introduction: To provide an epidemiological description of radial head subluxation, also known as nursemaid's elbow, from a database of emergency department visits.

Methods: We conducted a retrospective medical record review of patients 6 years of age and younger, who presented to the ED between January 1, 2005, and December 31, 2012, and were diagnosed with nursemaid's elbow. Inclusion criteria consisted of chart information, including date, unique account number, medical record number, weight, age, sex, and arm affected. Exclusion criteria included any charts with missing or incomplete data.

Results: There were 1,228 charts that met inclusion criteria. The majority of patients were female (60%). The mean age was 28.6 months (±12.6). The left arm was affected 60% of the time. Most of the included patients were over the 75(th) percentile for weight and more than one quarter were over the 95(th) percentile in each gender.

Conclusion: The average age of children presenting with nursemaid's elbow was 28.6 months. Females were affected more than males, and the left arm was predominately affected. Most patients were above the 75(th) percentile for weight and more than one quarter were over the 95(th) percentile for weight.

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Figures

Figure 1
Figure 1
Age distribution of children with nursemaid’s elbow or radial head subluxation.
Figure 2
Figure 2
Distribution of affected females by weight.
Figure 3
Figure 3
Distribution of affected males by weight.
See this image and copyright information in PMC

References

    1. Griffin ME. Subluxation of the head of the radius in young children. Pediatrics. 1955;15j:103–106. - PubMed
    1. Macias CG, Bothner J, Wiebe R. A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations. Pediatrics Official J Amer Acad of Ped. 1998;102:e10. - PubMed
    1. Jongschaap HC, Youngson GG, Beattie TF. The epidemiology of radial head subluxation (‘Nursemaid’s Elbow’) in the Aberdeen City area. Health Bull (Edinb) 1990;48:58–61. - PubMed
    1. Illingworth CM. Pulled Elbow: A study of 100 patients. Br Med J. 1975;2:672–674. - PMC - PubMed
    1. Quan L, Marcuse EK. The epidemiology and treatment of radial head subluxation. Am J Dis Child. 1985;139:1194–1197. - PubMed

Supplementary concepts